New Investment | Bellatrix Investment

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Additional Investment

First name

Entity name (if applicable)

Last name

Incorporated form of entity ie. CC, (PTY) Ltd, Trust, Sole Proprietor

Email

Reg. number/Passport No. / ID No. of Client

Code

Phone

Lump sum investment amount N$

Source of funds

12 Andimba Toivo ya Toivo Street, Southern Industrial Area, Windhoek admin@bellatrixinvest.com | +264 61 256 521 | +264 81 282 8334

Company Reg. no. 2020/0962 | NAMFISA Reg. no. 21/UIM/30

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